Chapter 53 Quiz

A  ureteral stones.

B  pyelonephritis.

C  cystitis.

D  Urethral infection.

A  A dull sound when percussing over the bladder

B  Bruits noted over the abdominal area

C  Tenderness over the kidneys

D  The ingestion of 8 oz of water

A  bladder

B  urethra

C  kidney

D  ureter

A  Mucosal

B  Connective tissue

C  Detrusor

D  Adventitia

A  If I have difficulty urinating, I should contact my physician.”

B  I should increase my fluid intake for the rest of the day.”

C  It is normal for my urine to be blood-tinged.”

D  I can resume my usual activities without restriction.”

A  Albumin

B  Cortisol

C  Vasopressin

D  Renin

A  Place a bed board under the mattress to add support

B  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

C  Check the patient’s urine for hematuria.

D  Keep the patient on bed rest for 72 hours.

A  Susceptibility to develop hypernatremia

B  Acid-base balance

C  Increased blood flow to the kidney

D  Increased glomerular filtration rate

A  Metronidazole

B  Phenytoin

C  Infection

D  phenazopyridine hydrochloride

A  Tympany

B  Flatness

C  Dullness

D  Resonance

A  Glomerulus

B  Renal pelvis

C  Parenchyma

D  Nephron

A  Who has come with you today?”

B  Do you have a pacemaker?”

C  Have you any artificial joints?”

D  “Do you have any allergies?”

A  Prostaglandins

B  Aldosterone

C  Growth hormone

D  Antidiuretic hormone

A  6:01

B  4:01

C  3:01

D  10:01

A  confirm all of the medications and supplements normally taken.

B  palpate the client’s bladder before and after voiding.

C  confirm which beverages the client normally consumes.

D  assess the client’s usual intake of sodium.

A  BUN to creatinine ratio

B  Blood urea nitrogen (BUN)

C  Uric acid level

D  Creatinine clearance level

A  Do you urinate while sleeping?”

B  Does it burn when you urinate?”

C  Is it painful when you urinate?”

D  Do you have a strong desire to void?”

A  Chronic kidney disease

B  Neurogenic bladder

C  Kidney stone formation

D  Proteinuria

A  Have you had a recent urinary tract infection?”

B  Have you noticed any vaginal bleeding?”

C  “Do you take multiple vitamin preparations?”

D  Do you take phenytoin daily?”

A  “I have not eaten since 8 pm last night.”

B  I brought a copy of my living will with me.”

C  “I signed the consent form in the physician’s office.”

D  “I took my usual dose of Coumadin last night.”

A  Increased blood flow to the kidneys

B  More prone to develop hypernatremia

C  Increased glomerular filtration rate

D  Acid-base balance

A  GI absorption rate

B  Creatinine clearance

C  Therapeutic index

D  Liver function studies

A  After discarding the 8:00 am specimen

B  With the first specimen voided after 8:00 am

C  At 8:00 am, with or without a specimen

D  6 hours after the urine is discarded

A  Serum potassium level

B  Uric acid level

C  Blood urea nitrogen level

D  Creatinine clearance level

A  Glomerulonephritis

B  Diabetes insipidus

C  Increased fluid intake

D  Decreased fluid intake

A  Blood urea nitrogen

B  Creatinine

C  Hemoglobin

D  Osmolality

A  The upper abdominal quadrants on the left and right side

B  The costovertebral angle

C  Around the umbilicus

D  Above the symphysis pubis

A  Kidney stones

B  Neurogenic bladder

C  Fistula

D  Chronic renal failure

A  chloride

B  glucose

C  potassium

D  creatinine

A  Diabetes

B  Severe renal damage

C  Fluid deficits

D  Diabetes insipidus

E  Glomerulonephritis

A  “I did not take my multivitamin this morning.”

B  “I had my last cigarette 3 hours ago with my morning coffee.”

C  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

D  I took my blood pressure medication with my morning coffee an hour ago.”

A  Perineal pain

B  Suprapubic pain

C  Costovertebal angle tenderness

D  Pain after voiding

A  When the urine output is between 300 and 500 mL/h

B  When the urine output is about 100 mL/h

C  When the urine output is less than 30 mL/h

D  When the urine output is between 500 and 1,000 mL/h

A  Urine-specific gravity

B  Volume of urine output

C  Circulating ADH concentration

D  Creatinine clearance

A  maintain bed rest for 2 hours.

B  notify the health care team if bloody urine is noted.

C  drink liberal amounts of fluids.

D  carefully handle urine because it is radioactive.

A  Nocturia

B  Dysuria

C  Polyuria

A  Increased serum creatinine

B  Increased serum albumin

C  Decreased potassium

D  Decreased blood urea nitrogen (BUN)

A  anuria.

B  nocturia.

C  dysuria.

D  oliguria.

A  Assess for anaphylaxis.

B  Place cool compresses on the calf.

C  Assess peripheral pulses in the left leg.

D  Exercise the leg and foot.

A  Unusually smooth skin

B  Pruritus

C  Hypoventilation

D  Increased alertness

A  Check the patient’s urine for hematuria.

B  Place a bed board under the mattress to add support.

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Keep the patient on bed rest for 72 hours.

A  increased in renal disease and urinary obstruction.

B  decreased in renal disease and urinary obstruction.

C  decreased in nephrotic syndrome.

D  unchanged in renal disease.

A  Myocardial infarction

B  Stroke

C  Urinary incontinence

D  Congestive heart failure

A  Antidiuretic hormone (ADH)

B  Aldosterone

C  Renin

D  Calcitonin

A  Secretion of prostaglandins

B  Vitamin D synthesis

C  Vitamin B production

D  Secretion of insulin

E  Regulation of blood pressure

A  An x-ray will be done to view your kidneys, ureters, and bladder.”

B  “You don’t need to do any fasting before this noninvasive test.”

C  “A contrast medium will be used to help see the structures better.”

D  You’ll have a pressure dressing on your groin after the test.”

A  Regulation of white blood cell production

B  Synthesis of vitamin K

C  Secretion of enzymes

D  Control of water balance

A  Assess the client’s mental changes.

B  Monitor the client for signs of electrolyte and water imbalance.

C  Monitor the client for an allergy to iodine contrast material.

D  Evaluate the client for periorbital edema.

A  The client reports a pain rating of 3 two hours post-kidney biopsy.

B  The client consumes 75% of lunch following an intravenous pyelogram

C  The client voids 75 cc four hours post cystoscopy.

D  The client has blood-tinged urine following brush biopsy.

A  Potassium

B  Sodium

C  Calcium

D  Phosphorous

A  Have you noticed any vaginal bleeding?”

B  “Do you take multiple vitamin preparations?”

C  Have you had a recent urinary tract infection?”

D  “Do you take phenytoin daily?”

A  Enuresis

B  Anuria

C  Dysuria

D  Hematuria

A  Computed tomography with contrast

B  Bladder ultrasonography

C  Cystoscopy

D  Radiography

A  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

B  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

C  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

D  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

A  Enable the client to sit up and ambulate.

B  Provide analgesics to the client.

C  Distract the client’s attention from the pain.

D  Assess the patient’s back and shoulder areas for signs of internal bleeding.

A  Infection

B  Obstruction of the lower urinary tract

C  Acute renal failure

D  Nephrotic syndrome

A  Radiography

B  Computed tomography (CT scan)

C  Angiography

D  Cystoscopy

A  I should let the staff know if I feel claustrophobic.”

B  “I will feel a warm sensation as the dye is injected.”

C  “I will need to drink all of the dye as quickly as possible.”

D  “I should remove all jewelry before the test.”

A  incorrect urine output values.

B  prostate irritation.

C  microorganism transfer.

D  client discomfort.

A  The kidneys are situated just above the adrenal glands.

B  The left kidney usually is slightly higher than the right one.

C  The kidneys lie between the 10th and 12th thoracic vertebrae.

D  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

A  6 hours after the urine is discarded

B  At 8:00 am, with or without a specimen

C  With the first specimen voided after 8:00 am

D  After discarding the 8:00 am specimen

A  Uric acid level

B  Serum potassium level

C  Blood urea nitrogen level

D  Creatinine clearance level

A  Urinary incontinence

B  Urinary frequency

C  Urinary stasis

D  Urinary urgency

A  A dull sound when percussing over the bladder

B  Tenderness over the kidneys

C  Bruits noted over the abdominal area

D  The ingestion of 8 oz of water

A  Bleeding

B  Dehydration

C  Allergic reaction

D  Infection